| NPI | 1932933975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AZ 22026) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MO 2020010974) |
| Enumeration Date | 2024-08-30 |
| Last Update Date | 2024-08-30 |